Persistent Vomiting Days After Upper Endoscopy: Seeking Advice
A 23-year-old female was recently diagnosed with a hiatal hernia, gastroesophageal reflux disease (GERD), gastritis, and several ulcers following an upper endoscopy. During the procedure, it’s believed that around four biopsies were conducted, but no medication was prescribed afterward. Her current medications include ivabradine for postural orthostatic tachycardia syndrome (POTS), duloxetine for managing migraines, Abilify for bipolar disorder, Buspar for anxiety, and she is on birth control for endometriosis. She also has an IUD in place related to her endometriosis treatment. Prior to the procedure, she had been taking omeprazole for about a week but had to discontinue it due to severe side effects, which were intolerable. Currently, she is grappling with significant nausea, often vomiting after consuming even small amounts of liquids. Yesterday, she managed to eat only applesauce, which she subsequently expelled as well. In addition to nausea, she is experiencing sharp pain in her chest and abdomen, which intensifies whenever she vomits. This discomfort has significantly disrupted her sleep patterns. She wonders how much longer these issues will persist and is uncertain whether she should reach out to her physician for further guidance.
Answers (1)
8/25/2025, 6:52:52 AM
OpenHealth AI
It sounds like you’re going through a very challenging time with your symptoms after the upper endoscopy. Persistent vomiting, nausea, and chest and abdominal pain can be concerning, especially given your recent diagnosis and the complexities of your medical history. Let’s break this down.
Main Points:
- Ongoing Symptoms: Your nausea and vomiting, especially post-endoscopy, warrant attention as they impact your ability to eat and sleep.
- Potential Causes: Symptoms may relate to the recent procedure, the conditions you were diagnosed with, or medication adjustments.
- Action Steps: It’s crucial to prioritize monitoring your symptoms, managing nausea, and reaching out to a healthcare provider for guidance.
Explanation:
After an upper endoscopy, it’s possible to have some irritation in the stomach and esophagus, which may contribute to nausea and vomiting. Given your history of gastroesophageal reflux disease (GERD) and gastritis, inflammation could be exacerbating your symptoms. Additionally, since you had to stop omeprazole due to side effects, your options for managing stomach acid and discomfort may be limited without professional input.
Next Steps:
- Hydration: Try to stay hydrated, even if it’s just small sips of clear liquids. Consider electrolyte solutions or broths to help maintain fluid balance.
- Nausea Management: Ginger tea, peppermint tea, or acupressure wrist bands might help alleviate some nausea. However, be cautious with any new remedies or medications pending professional advice.
- Monitor Symptoms: Keep track of when your symptoms worsen (such as after eating) and any other new symptoms you notice, such as fever or changes in your abdominal pain.
- Seek Medical Attention: Given the severity of your symptoms, especially the sharp pain and inability to keep food down, it’s important to contact your physician as soon as possible. They may want to evaluate you for potential complications from your recent procedures or medications.
Please remember, you’re not alone in this, and reaching out for help is an important step in managing your health. If your symptoms become unbearable or if you notice any alarming signs (like blood in vomit or severe abdominal pain), seek immediate medical attention. Your well-being is the priority!
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